If the patient was found to have gone into labour, labour was accelerated by doing amniotomy
followed by oxytocin drip.
Alternatively, if appropriate, cervical ripening followed by oxytocin IOL and amniotomy
will help the patient with a prolonged latent phase to enter the active phase of labor.
with or without oxytocin might be more expensive and more laborious than using misoprostol alone.
It is known that practices such as the lithotomy position (used in almost all births), unnecessary palpation, shaving of the perineum, enema, use of catheters, establishing vascular access, restriction of eating and drinking water, amniotomy
(60%), and fetal monitorization are widespread (11,12).
Labour induction with unfavorable cervix is done with prostaglandins, cervical Foleys catheter, mesoprostol then followed by amniotomy
and augmentation with oxytocin, when cervix is favorable then induction with amniotomy
and augmentation with oxytocin is carried out.
Augmentation of labor was done by amniotomy
and syntocinon infusion.
In contrast, when performing procedures where exposure to body fluids is anticipated, such as an amniotomy
or placement of an intrauterine pressure catheter, protection of mucous membranes, skin, and clothing are recommended, with a mask and eye protection, in addition to gloves and an impermeable gown.
For years, obstetricians have drawn upon such various methods for the induction of labor as membrane sweeping, amniotomy
, extra-amniotic Foley catheter insertion, extra-amniotic saline infusion, caster oil consumption, intravenous oxytocin, vaginal prostaglandin E2, vaginal prostaglandin F2[alpha], misoprostol, and even acupuncture, all with different success rates and probable complications.
Labor inductions by amniotomy
, intravenous drip of oxytocin, or vaginal dinoprostone were applied 24 h after the first tablet was provided, if the women (both the misoprostol and placebo groups) were still not in labor.
At cervical dilatation of 4-6cm, amniotomy
was performed in those with intact membranes and the patients were randomly assigned to the two groups as per protocol.
Labor induction is associated with longer labor and hospital stays; higher costs due to related interventions such as electronic fetal monitoring, amniotomy
, and epidural use; and higher risk of cesarean delivery (Maslow and Sweeny 2000; Rayburn and Zhang 2002; Heffner, Elkin, and Fretts 2003; Simpson and Atterbury 2003; MacDorman, Declercq, and Zhang 2010).
Similarly, a few studies evaluating the use of early artificial amniotomy
as an induction agent in nulliparous women have demonstrated potential benefits such as a decreased time to delivery.